Difference between revisions of "Loop electrosurgical excision procedure"
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'''Loop electrosurgical excision procedure''', abbreviated '''LEEP''', is a gynecologic procedure to remove tissue from the [[uterine cervix]].<ref>URL: [http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes]. Accessed on: 13 August 2012.</ref> It is used to diagnose, stage and treat cervical neoplasia. | '''Loop electrosurgical excision procedure''', abbreviated '''LEEP''', is a gynecologic procedure to remove tissue from the [[uterine cervix]].<ref>URL: [http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes]. Accessed on: 13 August 2012.</ref> It is used to diagnose, stage and treat cervical neoplasia. | ||
==Work-up of a negative LEEP== | |||
#Review the biopsy that triggered the LEEP. | |||
#Cut levels (x3) on all blocks. | |||
#Flip all the blocks and cut levels (x3). | |||
#Do p16 on the most suspicious block, if the triggering diagnosis was cannot exclude HSIL, HSIL or SCC. | |||
==Sign out== | ==Sign out== | ||
Revision as of 04:49, 19 November 2013
Loop electrosurgical excision procedure, abbreviated LEEP, is a gynecologic procedure to remove tissue from the uterine cervix.[1] It is used to diagnose, stage and treat cervical neoplasia.
Work-up of a negative LEEP
- Review the biopsy that triggered the LEEP.
- Cut levels (x3) on all blocks.
- Flip all the blocks and cut levels (x3).
- Do p16 on the most suspicious block, if the triggering diagnosis was cannot exclude HSIL, HSIL or SCC.
Sign out
Negative LEEP
A. UTERINE CERVIX, LOOP ELECTROSURGICAL EXCISION PROCEDURE (LEEP): - ACUTE AND CHRONIC CERVICITIS. - BENIGN SQUAMOUS EPITHELIUM, METAPLASTIC SQUAMOUS EPITHELIUM, AND BENIGN ENDOCERVICAL GLANDS. - NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY, SEE COMMENT. B. UTERINE ENDOCERVIX, CURETTAGE: - ENDOCERVICAL MUCOSA AND STRIPPED ENDOCERVICAL EPITHELIUM WITHIN NORMAL LIMITS. - BENIGN SQUAMOUS EPITHELIUM. - NEGATIVE FOR DYSPLASIA. COMMENT: Levels were cut (x3) on all blocks. The blocks were then flipped and an additional set of levels (x3) were cut on all blocks. A p16 immunostain was done on A1. It does not demonstrate high-grade dysplasia. The previous pathology was partially reviewed, and I have no significant disagreement with the findings.
See also
References
- ↑ URL: http://www.webmd.com/cancer/cervical-cancer/loop-electrosurgical-excision-procedure-leep-for-abnormal-cervical-cell-changes. Accessed on: 13 August 2012.